TechDetail

Last Updated:  5/16/2024 5:21:04 AM

Technician Detail               
Name  MADISON   BRIM 
Type  Technician 
Number 24786 
City  OKLAHOMA CITY, OK  73170 
Status CANCELED
Issue Date  01/31/2019 
Renewed Date 02/01/2019
Expire Date  09/30/2019 
End Date  11/01/2019 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action